Tanja Supon-Clause, MA LPC

NPI #1639638703 in Guyton, Georgia

Provider Information

NPI Number
1639638703
Entity Type
Individual
Name
Tanja Supon-Clause, MA LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA LPC
Enumeration Date
Mar 18, 2019
Last Updated
Nov 17, 2023

Practice Location

Address
109 COTTON BLUFF CT
City
Guyton
State
Georgia
ZIP Code
31312-7540
Phone
(912) 433-5099

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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